Organization
GEOFFREY W BLATTER, DMD, PC
Active
Other names
Lebanon Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY W BLATTER DMD (PRESIDENT)
(541) 600-0280
Entity
Organization
Contact information
Practice address
100 E OAK ST, LEBANON, OR 97355-4135
(541) 451-1176
(541) 451-1424
Mailing address
1305 SE 13TH PL, CANBY, OR 97013-4352
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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